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Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

 
 - Part 5

Using microscopic facility the grafts were anastamosed using 6 zero nylon. During that the postganglionic truncks were partially resected to leave the posterior wall of the epineurium so as to use it as traction to the anastamostic  site. The number of stitches was governed by achieving perfect alignment of the anastamosis. It was necessary to put between 6 to 10 stitches at each site to regain the goal.

Routine closure of the wound and as seen the grafts are hanging lax and free above the laminaes with luxury length, to avoid traction in case the patient bend his back. 

 

 

 

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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved